The Journal of Immunology, 1999, 162: 5263-5269.
Copyright © 1999 by The American Association of Immunologists
Expression of L-Selectin Ligands by Transformed Endothelial Cells Enhances T Cell-Mediated Rejection1
Luigi Biancone*,
Ivan Stamenkovic
,
Vincenzo Cantaluppi*,
Mariarosaria Boccellino*,
Antonella De Martino*,
Federico Bussolino
and
Giovanni Camussi2,*
*
Chair of Nephrology, Department of Internal Medicine, University of Torino, Torino, Italy;
Department of Pathology, Harvard Medical School and Pathology Research, Massachusetts General Hospital, Charlestown, MA 02129; and
Department of Genetics, Biology, and Biochemistry, University of Torino, and Institute for Cancer Research and Treatment, Candiolo, Italy
 |
Abstract
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Recent immunohistochemical studies have suggested that L-selectin
ligands may be implicated in the infiltration of tumors and rejected
transplants by lymphocytes. In the present study, polyoma-middle T
Ag-transformed endothelial cells (H.end), which typically form in vivo
immunogenic vascular tumors resembling Kaposis sarcoma, were
engineered to express L-selectin ligands by stable transfection with a
cDNA encoding
(1,3/4)-fucosyltransferase (H.endft).
The ability of these cells to form tumors in the s.c. tissues of normal
and immunocompromised mice was then compared with that of H.end cells
transfected with the hygromycin-resistance vector only
(H.endhygro). H.endhygro cells rapidly
formed local and metastatic tumors in normal syngeneic mice, leading to
death within 23 mo postinjection. By contrast, tumors derived from
H.endft cells displayed a slower rate of growth, an
absence of metastasis, and marked lymphocyte infiltration. Animals
bearing these tumors survived for a significantly longer duration than
animals injected with H.endhygro cells. Alternatively,
H.endft and H.endhygro cells formed
tumors with comparable aggressiveness in immunocompromised mice,
resulting in animal death within 3 wk of injection.
H.endft but not H.endhygro cells
supported L-selectin-dependent adhesion and cytolytic T cell activity
in vitro. Taken together, our observations indicate that the in situ
expression of fucosyltransferase may significantly influence the
cellular immune response in endothelioma tumors. These results may be
relevant in understanding the development of vascular opportunistic
tumors such as Kaposis sarcoma.
 |
Introduction
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Lymphocyte
trafficking from the circulation to lymphoid organs or extralymphoid
tissues is a multistep process requiring a series of sequential
interactions between specific adhesion receptor-ligand pairs (1). A
critical role in the initial events of this process is played by
L-selectin, a member of the selectin family of adhesion receptors that
is constitutively expressed on most leukocytes (2, 3). Interaction
between leukocyte L-selectin and endothelial cell ligands, which are
composed of appropriately presented sialylated, fucosylated, and/or
sulfated oligosaccharides (4), promotes leukocyte rolling on the
endothelial surface facilitating subsequent leukocyte arrest and
extravasation (2, 3, 4). Several endothelial glycoprotein ligands of
L-selectin have been identified, including mucin-like proteins GlyCAM-1
and CD34, Sgp200, and a subset of MAdCAM-1 molecules (4). Appropriate
glycosylation of these protein cores is indispensable for recognition
by L-selectin to occur (5). The importance of appropriate L-selectin
function has been underscored by observations that L-selectin-deficient
mice display major defects in lymphocyte homing and leukocyte rolling
on endothelium (6). Leukocyte rolling and extravasation are also
severely impaired in P-selectin-deficient mice (7), whereas
E-selectin-deficient mice have no obvious changes in leukocyte
trafficking during an inflammatory response (8). L-selectin
counterreceptors are physiologically expressed by specialized
endothelial cells termed high endothelial venules lining the
postcapillary venules of peripheral lymph nodes (4). However, similar
high endothelial venule structures that express L-selectin ligands can
be observed at sites of chronic inflammation where L-selectin also
appears to play an important role in mediating lymphocyte recruitment
(9). In addition, immunohistochemical studies have recently suggested a
correlation between the expression of L-selectin ligands by tumor
vessels and lymphocyte infiltration (10) as well as in rejected
transplants (11). Furthermore, fucosyltransferase
(ft)3-dependent expression of
L-selectin ligands was detected in several tumor cell lines (12). Taken
together, these data suggest that the expression of functional
L-selectin ligands may facilitate lymphocyte infiltration and a local
cellular immune reaction in pathological events such as an antitumor
immune response or transplant rejection. However, direct evidence of
the role of these ligands in these conditions is lacking to date.
To address the possible role of the expression of fucosylated
oligosaccharides in tumor rejection in vivo,
(1,3/4)-ft-specific
cDNA (13), was stably transfected into a polyoma-middle T
oncogene-transformed endothelial cell line, H.end, that lacks
L-selectin ligands and typically forms an immunogenic vascular tumor
when injected in vivo in syngeneic mice. This tumor has been used
previously as a murine model for Kaposis sarcoma (14, 15). Previous
studies have demonstrated that transfection of
(1,3/4)-ft does not
modify the growth of a nonimmunogenic melanoma tumor per se (16). The
aim of the present study was to evaluate whether the expression of
fucosylated ligands by an immunogenic tumor potentiates the effector
phase of rejection as a result of adhesion molecule-mediated lymphocyte
recruitment. Therefore, growth and metastatic dissemination of
(1,3/4)-ft and control H.end transfectants were compared in normal
and immunocompromised mice. The results obtained indicate that the
expression of
(1,3/4)-ft in H.end cells promotes an
L-selectin-dependent recruitment of lymphocytes toward the tumor and
enhances tumor rejection. This effect was absent in immunocompromised
mice.
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Materials and Methods
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Cell lines and transfectants
Murine H.end endothelioma cells (17, 18) were cultured in DMEM
(Irvine Scientific, Santa Ana, CA) supplemented with 2 mM glutamine
(Life Technologies, Gaithersburg, MD), 10% FCS (Irvine
Scientific), and gentamicin. Cells were transfected with
H3M vector
containing the hygromycin resistance gene only or with
H3M vector
containing
(1,3/4)-ft cDNA (13). Transfectants were generated by
electroporation (Gene Pulser; Bio-Rad, Richmond, CA) at 250 V and 960
µF in 4-mm electroporation cuvettes. Clones were selected for
hygromycin resistance in DMEM, 10% FCS, and 500 µg/ml hygromycin B
(Boehringer Mannheim, Indianapolis, IN) and were tested for sialyl
Lewis a (SLea) expression by indirect
immunofluorescence.
Determination of cellular growth rate in vitro
Each transfectant was cultured in 96-well, flat-bottom
microtiter plates (Falcon Labware, Oxnard, CA) at a concentration of
5 x 104 cells/well in DMEM/10% FCS. After 24 h
of culture, cells were washed and incubated in serum-free DMEM
containing 250 µg/ml
2,3-bis(2-methoxy-4-nitro-5-sulfophenyl)-2H-tetrazolium-5-carboxanilide
at 37°C. Cell growth was monitored by determination of the absorption
values at 620 nm in an automated ELISA reader. All cultures were done
in triplicate.
Immunofluorescence studies
For cytofluorometric analysis, cells were detached from plates
with EDTA, washed, resuspended in PBS, and incubated at 4°C for 30
min with RPMI 1640 containing 10 µg/ml human L-selectin-Ig fusion
protein (L-selectin receptor globulin (Rg)) (19); human recombinant
CD8-Ig fusion protein (CD8 Rg), which was shown previously to be
nonreactive with murine tissues (20), was used as a control. As a
second-step reagent, FITC-conjugated anti-human IgG (Sigma, St.
Louis, MO) was used. Cells were analyzed on a FACS (Becton Dickinson,
Mountain View, CA).
For tissue staining, 5-µm paraffin-embedded tissue sections were
stained with 10 µg/ml of goat anti-mouse CD4 or rabbit
anti-mouse CD8 (Santa Cruz Biotechnology, CA) or with control
isotype-matched Ab (PharMingen, San Diego, CA) for 45 min at room
temperature. The slides were washed in PBS, incubated with
fluorescein-labeled rabbit anti-goat or goat anti-rabbit IgG
affinity-purified Ab (Sigma) for 30 min at room temperature, washed,
counterstained with 1 µg/ml propidium iodide (PI) in PBS for 30
s, mounted with anti-fade mounting medium (Vector Laboratories,
Burlingame, CA), and examined.
Adhesion and cell-mediated cytotoxicity assays
Adhesion was studied in nonstatic conditions according to
Spertini et al. (21). The Jurkat cell line (American Type Culture
Collection, Manassas, VA), which expresses L-selectin (22), was used to
test lymphoid cell adhesion to H.end transfectants. Approximately 55
µCi of [111In]oxine was added drop-wise to 2 ml of
Jurkat (107) suspension and allowed to incubate at room
temperature for 10 min. After centrifugation at 1400 x
g for 10 min, cells were resuspended in Tris-buffered
Tyrodes solution containing 0.5% heat stable Ag. The labeling
efficacy was
90%; the viability of Jurkat cells, as determined by
trypan blue exclusion, was always >95%. H.end transfectants, which
were grown to confluence in 24-well plates, were washed three times
with RPMI 1640 medium containing 0.5% heat stable Ag and placed on a
platform rotator (80 rpm); next, 111In-labeled Jurkat cells
were added to the plate at 2 x 105 cells/well at
4°C for 30 min. After the incubation periods, nonadherent Jurkat
cells were removed by washing three times with the incubation medium.
The adherent radiolabeled Jurkat cells were then solubilized for 10 min
with 1N NaOH and 1% SDS, and the lysate radiolabel was determined in a
gamma counter. In some experiments, 10 mM EDTA was added to the wells
or Jurkat cells were preincubated for 10 min at 4°C with 20 µg/ml
anti-L-selectin blocking mAb (clone DREG-56; PharMingen) before the
coincubation. The cell-mediated cytotoxicity assay has been described
by Kroesen et al. (23). Briefly, mice were injected s.c. with H.end
cells, and splenocytes were harvested on day 15. H.endft or
H.endhygro were labeled overnight with
3,3'-dioctadecylloxacarbocyanine (Molecular Probes, Eugene, OR),
washed, and incubated at 37°C for 24 h with the harvested
splenocytes at different E:T ratios. At the end of the incubation, a
3.75-mM solution of the membrane-impermeant nucleic acid counterstain
PI was added to label any cells with compromised plasma membrane, and
cells are observed under a fluorescence microscope. The percentage of
dead target cells in the presence of effector cells (+effectors)
corrected for spontaneous target cell death in the absence of effector
cells (-effectors) was calculated according to the following equation,
where G = green and G+R = both green and red. The corrected
percentage of cytotoxicity is equal to: ([(G+R cells/G cells)
(+effectors)] - [(G+R cells/G cells)
(-effectors)]) x 100. In selected experiments, 20
µg/ml anti-mouse L-selectin blocking mAb (clone MEL-14,
PharMingen) or isotype-matched control IgG (PharMingen) were added to
the cells.
Evaluation of tumor growth in vivo
For in vivo experiments, cells were gently detached from plates
with EDTA, washed with PBS, counted in a microcytometer chamber, and
resuspended in saline. A total of 107 cells, which is the
minimal tumorigenic dose of tumor cells required for outgrowth in 100%
of syngeneic mice (15), in a total volume of 150 µl were injected
s.c. into the left back of mice via a 26-gauge needle and using a 1-ml
syringe. The mice were scored for tumor growth once a week, and tumor
size was documented by measuring two perpendicular diameters in
millimeters using a caliper. Animals were sacrificed at different
timepoints and subjected to autopsy. All organs were examined
macroscopically for evidence of tumor growth. Portions of liver,
annexes, lung, and brain tissue from each animal as well as any tissue
containing visible tumor growth were fixed in formaldehyde for light
microscopy and immunohistochemical studies.
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Results
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H.end cells implanted in syngeneic mice typically form tumors
similar to hemangiosarcomas and Kaposis sarcoma characterized by
lymphocyte infiltration (14, 15, 24). It has been shown that these
tumors induce a T cell-dependent antitumor immune response and may
therefore represent a suitable model for opportunistic vascular
neoplasias (15). H.end cells do not express fucosylated L-selectin
ligands, as shown by the absence of binding to soluble L-selectin (Fig. 1
). H.endft variant cells were
developed that stably express a cDNA encoding an
(1,3/4)-ft, which
catalyzes transglycosylation reactions yielding both Fuc
(1, 3)- and
Fuc
(1, 4)-glycosidic bonds (13) and directs the expression of
L-selectin ligands (14). H.endft but not H.end cells
transfected with the hygromycin resistance selection vector only
(H.endhygro) were observed to bind L-selectin-Ig fusion
protein (L-selectin Rg) (Fig. 1
). In addition, H.endft cells
supported a 4-fold increase in Jurkat cell adhesion compared with
H.endhygro cells (Fig. 2
). The
enhanced Jurkat adhesion was L-selectin- and
Ca2+-dependent, as shown by the inhibitory effect of
anti-L-selectin mAb and EDTA, respectively (Fig. 2
). In vitro
proliferation assays demonstrated a comparable growth of
H.endft and H.endhygro cells (data not shown). To
evaluate whether the expression of ft by target cells may influence CTL
killing, we studied the in vitro cytolytic effect on H.endft
and H.endhygro cells of splenocytes from both mice carrying
H.end tumor and naive mice. As shown in Fig. 3
A, the CTL activity from the
T lymphocytes of mice carrying H.end tumors on H.endft cells
was significantly increased compared with that on H.endhygro
cells. Minimal cytotoxic activity was observed when lymphocytes from
naive mice were used instead of cells from mice carrying H.end tumors
(Fig. 3
B). Moreover, the treatment of lymphocytes from mice
carrying H.end tumors with anti-CD3 mAb abrogated cytotoxicity,
suggesting T cell-mediated CTL killing (Fig. 3
A). The
enhanced cytotoxicity observed with T lymphocytes from mice carrying
H.end tumors on H.endft cells was supported by
L-selectin-mediated adhesion, because it was inhibited by
anti-L-selectin mAb (Fig. 3
A).

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FIGURE 1. Binding of L-selectin Rg on H.endhygro and
H.endft cells. CD8 Rg (control), in place of L-selectin
Rg, displayed an absence of staining on both H.endhygro
and H.endft. The results shown are representative of
four separate experiments.
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FIGURE 2. In vitro adhesion assay of Jurkat cells to H.endhygro
and H.endft cells. 111In-labeled Jurkat
cells were added to H.endhygro and
H.endft cell monolayers at 2 x 105
cells/well. Adhesion assays were performed at 4°C for 30 min on a
platform rotator (80 rpm). After the incubation periods, nonadherent
Jurkat cells were removed by washing, adherent cells were lysed, and
the lysate radiolabel was determined in a gamma counter. In some
experiments, 10 mM EDTA was added to the wells, or Jurkat cells were
preincubated with anti-L-selectin blocking mAb as described in
Materials and Methods. The results shown are
representative of three separate experiments. ANOVA with Newman-Keuls
multicomparison test was performed. Statistical differences
(p < 0.05) were encoded as follows:
H.endhygro alone vs H.endft alone (*),
H.endhygro alone vs H.endhygro with EDTA
or anti-L-selectin mAb (°), and H.endft alone vs
H.endft with EDTA or anti-L-selectin mAb (§).
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FIGURE 3. Comparison of CTL activity on H.endhygro and
H.endft cells. Splenocytes (effector cells) were
harvested from mice bearing H.end-derived tumors for 15 days
(A) or from naive mice (B) and incubated
with H.endhygro or H.endft cells (target
cells) at different E:T ratios for 24 h at 37°C. The addition of
20 µg/ml anti-mouse L-selectin blocking mAb (clone MEL-14)
significantly affected the lysis of H.endft cells but
not of H.endhygro cells. The addition of 5 µg/ml
anti-mouse CD3 mAb abrogated the lysis of
H.endhygro. The addition of an isotype-matched control
IgG gave results that were similar to those for vehicle alone (data not
shown). ANOVA with Newman-Keuls multicomparison test was performed.
Statistical differences (p < 0.05) were encoded as
follows: H.endhygro alone vs H.endft
alone (*), H.endhygro alone vs H.endhygro
with anti-L-selectin mAb (°), and H.endft alone vs
H.endft with anti-L-selectin mAb (§).
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To address the effect of ft expression on H.end tumor growth in vivo,
an equal number of cells (107) from each transfectant
(H.endhygro and H.endft) was first injected s.c.
in nude mice (six per group), and the animals were monitored for
visible tumor growth. Both H.endhygro and H.endft
cells formed massive tumors (Fig. 4
)
within 2 wk, leading to death in 23 wk. No significant difference
between these two groups of nude mice was found with regard to tumor
size (Fig. 4
) and dissemination (number of metastases at autopsy:
H.endhygro, 9 ± 4; H.endft, 12 ± 5),
which typically consists of several small metastases in the annexial
organs (15). This result suggests that the expression of
(1,3/4)-ft
does not influence tumor growth and dissemination in the absence of an
intact immune response.

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FIGURE 4. Growth of tumors induced by H.endhygro and
H.endft cells in syngeneic DBA/2 and nude mice. Mice
were injected s.c. as described in Materials and Methods
and sacrificed after 4 wk. All of the nude mice injected with either
H.endhygro or H.endft died before the
endpoint at 23 wk postinjection. Results were expressed as the mean
diameter (in millimeters) of tumors from groups of six mice each. ANOVA
with Dunnetts multicomparison test was performed. Statistical
differences (p < 0.05) were encoded as follows:
H.endhygro in nude mice vs H.endft in
nude mice (*) and H.endhygro in DBA/2 mice vs
H.endft in DBA/2 mice (§).
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To address the effect of ft expression on H.end tumor growth in normal
animals, H.endhygro and H.endft cells were
compared for tumor formation in the s.c. tissues of syngeneic DBA/2
mice (six mice per group). The growth of H.endhygro
cell-derived tumors in syngeneic animals was significantly retarded
compared with their growth in immunocompromised animals (Fig. 4
), which
is consistent with previous observations (15). At the 4-wk endpoint,
all of the mice in this group developed a primary tumor mass (Figs. 4
and 5
) with secondary metastasis in the
annexial organs (number of metastases: 5 ± 3). As shown in Fig. 5
, A and B, H.endhygro grew as a
hemangiosarcoma with characteristic vascular lacunae containing
erythrocytes that strongly resembled Kaposis sarcoma. A moderate
infiltration of inflammatory cells was detectable within the tumor
(Fig. 5
B). Tumors derived from H.endft cells
after an initial growth showed a marked reduction in size with respect
to H.endhygro-derived counterparts (Fig. 4
). At the site of
implantation, residual tumors showed a marked infiltration of
inflammatory cells surrounding a central necrotic area (Fig. 5
, C and D). The vascular lacunae were absent or
seen occasionally. Moreover, metastases were absent. These results
suggest that the expression of
(1,3/4)-ft conditions the local
growth and the metastatic dissemination of H.end tumors in vivo.
Similar results were obtained when the in vivo experiments were
repeated with two other transfectant isolates of H.endhygro
and H.endft cells (three mice per group) to dispel the
possibility of a clone-specific effect (data not shown).

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FIGURE 5. Histological (hematoxylin and eosin) analysis of tumors from normal
DBA/2 mice injected with H.endhygro and
H.endft cells and sacrificed after 4 wk.
A and B, Micrographs showing the typical
aspects of H.endhygro large tumor masses with vascular
lacunae containing erythrocytes (A, x100 magnification;
B, x400 magnification). C and
D, Micrographs showing aspects representative of
rejected H.endft tumors (C, x80
magnification; D, x400 magnification). The
central necrotic area is surrounded by a marked inflammatory
infiltrate. In D, aspects of karyolysis and karyorhexis
are seen.
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Immunohistochemical analysis revealed minimal to moderate infiltration
of either CD4+ or CD8+ T cells within
H.endhygro tumors (Table I
and
Fig. 6
, A and B).
By contrast, H.endft tumors were massively infiltrated by
both CD4+ and CD8+ T lymphocytes (Table I
and
Fig. 6
, C and D).

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FIGURE 6. Immunohistochemical analysis of tumors from normal DBA/2 mice
injected with H.endhygro and H.endft
cells and sacrificed after 4 wk. A and B,
Micrographs representative of a minimal to moderate infiltration of
CD4+ (A) and CD8+
(B) T lymphocytes in tumors induced by
H.endhygro. C and D,
Micrographs representative of a massive infiltration of
CD4+ (C) and CD8+
(D) T lymphocytes in H.endft tumors.
Slides were stained as described in Materials and
Methods and counterstained in red with PI (AD,
x400 magnification).
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To compare the survival rate of mice injected with
H.endhygro or H.endft cells, a second set of
experiments with an endpoint of 3 mo was performed. The results showed
a significant prolongation of survival of mice injected with
H.endft compared with mice injected with
H.endhygro. At the completion of this study, all of the
animals (six of six) injected with H.endhygro cells were
dead due to tumor progression, whereas survival was 100% for mice (six
of six) injected with H.endhygro cells (Fig. 7
).
 |
Discussion
|
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The expression of fucosylated oligosaccharides regulates
selectin-mediated leukocyte adhesion to and rolling on lymphoid and
inflammatory tissue endothelia and thereby participates in lymphocyte
homing to lymphoid tissues and in leukocyte recruitment to sites of
injury (3, 4). Recent immunohistochemical studies have suggested that
L-selectin ligands may also be implicated in lymphocyte infiltration of
tumors and rejected organs (10, 11). However, direct evidence that
fucosylated selectin ligands may play a role in tumor rejection is
lacking. The results of the present study demonstrate the potential
importance of fucosylated L-selectin ligand expression in the
efficiency of an immune response to a vascular opportunistic tumor that
resembles Kaposis sarcoma. Indeed, the in vitro experiments
demonstrated that T lymphocytes derived from animals bearing an H.end
tumor expressed more efficient cytotoxic activity on cells expressing
the fucosylated L-selectin ligands. L-selectin ligand expression on
H.end may have potentially contributed to an enhancement of antitumor
immunity by at least two mechanisms. First, enhanced physical
lymphocyte-tumor cell contact may augment the efficiency for lymphocyte
cytotoxicity toward tumor cells. In support of this notion, in vitro
adhesion assays showed a marked increase in lymphoid cell attachment to
H.end cells expressing ft in comparison with vector only transfectants.
The observed adhesion was L-selectin-dependent as demonstrated by its
occurrence at 4°C under nonstatic conditions, by EDTA sensitivity,
and by abrogation by anti-L-selectin blocking Abs. The second
mechanism may possibly rely on the induction of lymphocyte
extravasation and recruitment, because H.end cells may themselves line
capillary walls as observed previously by Williams et al. (14). A
similar situation occurs in Kaposis sarcoma, a hemangiosarcoma, for
which development is favored by an impairment of immune surveillance.
Moreover, the dissimulation of tumor cells into capillary lumen and
direct contact with the circulation are common features of several
vascular tumors. The expression of fucosylated L-selectin ligands may
also favor recruitment of the polymorphonuclear cells that were
effectively seen in the inflammatory infiltrate detected within
H.endft tumors. However, the experiments performed in nude
mice suggest that the T cell-mediated response rather than aspecific
leukocyte recruitment is critical for endothelioma rejection.
H.end cells have been shown previously to form tumors that are highly
immunogenic (15). In a previous study (16), we transfected the same
(1,3/4)-ft in B16F10 murine melanoma cells, which are known to be
poorly immunogenic (25), and tested for tumorigenicity in syngeneic
C57BL/6 mice. Under such conditions, no differences were observed with
regard to tumor growth or lymphocyte infiltration that is basely poor
or absent. This finding may suggest that the expression of selectin
ligands might affect tumor growth only in the presence of an ongoing
local antitumor immune response by favoring the recruitment of T
lymphocytes. In addition, the endothelial origin of H.end cells has
provided a more suitable model to evaluate the effect of ft expression
on antitumor immunity.
In conclusion, our study suggests that the expression of L-selectin
ligands by endothelial tumor cells enhances cell-mediated immunity and
reduces tumor aggressiveness in vivo. The demonstration that local
endothelial expression of functional L-selectin ligands facilitates
lymphocyte infiltration and a T cell-mediated immune response may also
contribute to the elucidation of the mechanisms of other pathological
conditions, such as inflammation and transplant rejection, where the
detection of L-selectin ligands has been reported recently (26, 11).
 |
Acknowledgments
|
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We thank Dr. R. Bonomini for discussions and helpful
suggestions.
 |
Footnotes
|
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1 This work was supported by the Associazione Italiana per la Ricerca sul Cancro, "Cofinanziamento Ministero dellUniversità e della Ricerca Scientifica e Tecnologica 1998", and Consiglio Nazionale delle Ricerche-targeted Project on Biotechnology (to G.C.), as well as by the Istituto Superiore di Sanità (Research Project "Artificial organs and organ transplantation" to G.C; "Pathology, clinic and therapy of AIDS" to G.C. and F.B.). I.S. is a Scholar of the Leukemia Society of America and was supported by National Institutes of Health Grants CA55735 and GM48614. 
2 Address correspondence and reprint requests to Dr. Giovanni Camussi, Laboratorio di Immunopatologia Renale, Corso Dogliotti 14, 10126 Torino, Italy. E-mail address: 
3 Abbreviations used in this paper: ft, fucosyltransferase; PI, propidium iodide; Rg, receptor globulin. 
Received for publication November 19, 1998.
Accepted for publication February 8, 1999.
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